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SMILE ON OF NORTH SHORE, PC
NPI 1891264644
Durable Medical Equipment & Medical Supplies - Customized Equipment in Deerfield, IL

Active since November 21, 2018
707 LAKE COOK RD., SUITE 121, DEERFIELD, IL 60015(224) 282-8939(773) 337-4988 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Smile On Of North Shore, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE ON OF NORTH SHORE, PC (NPI 1891264644) is a healthcare organization registered as a customized equipment in Deerfield, Illinois and active in the NPI registry since November 2018. The organization lists Paul Poncza, Owner, as its authorized official.

NPPES Registry Identity

NPI1891264644
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSMILE ON OF NORTH SHORE, PC
Location Address707 LAKE COOK RD., SUITE 121Deerfield, IL 60015
Mailing Address707 Lake Cook Rd., Suite 121Deerfield, IL 60015 · (224) 282-8939 · Fax (773) 337-4988
Phone(224) 282-8939
Fax(773) 337-4988
Organization SubpartNo
Authorized OfficialPaul PonczaOwner · (224) 282-8939
Enumeration DateNovember 21, 2018
✔ NPI 1891264644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
707 LAKE COOK RD., Deerfield, IL 60015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smile On Of North Shore, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20200403002429DME · Oral Surgery - DentistDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Smile On Of North Shore, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Poncza, D.D.S.
Dentist
NPI 1679652382
9933 LAWLER AVE STE 340
Skokie, IL 60077
(847) 677-2808
✔ PECOS7.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile On Of North Shore, PC's NPI number?

The NPI number for Smile On Of North Shore, PC is 1891264644. It was assigned to this organization in the NPPES registry on November 21, 2018.

Where is Smile On Of North Shore, PC located?

Smile On Of North Shore, PC is located at 707 Lake Cook Rd. Suite 121, Deerfield, IL 60015. The listed phone number is (224) 282-8939.

What is Smile On Of North Shore, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Is Smile On Of North Shore, PC enrolled in Medicare?

Yes. Smile On Of North Shore, PC is registered in the Medicare PECOS enrollment system.

When is Smile On Of North Shore, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Oral Surgery - Dentist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Smile On Of North Shore, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Smile On Of North Shore, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Smile On Of North Shore, PC accept?

Health plans from UnitedHealthcare list Smile On Of North Shore, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smile On Of North Shore, PC was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.